<!DOCTYPE html>
<html>
<head>
    <#include "../common.ftl">
</head>
<body class="childrenBody">
<form class="layui-form" style="width:80%;">
    <#-- 客户id隐藏域 -->
    <input name="cusId" type="hidden" value="${cusId}"/>

    <div class="layui-form-item layui-row layui-col-xs12">
        <label class="layui-form-label">订单编号</label>
        <div class="layui-input-block">
            <input type="text" class="layui-input userName"
                   lay-verify="required" name="orderNo" id="orderNo"  placeholder="请输入订单编号">
        </div>
    </div>
    <div class="layui-form-item layui-row layui-col-xs12">
        <label class="layui-form-label">订单时间</label>
        <div class="layui-input-block">
            <input type="text" class="layui-input userName"
                   lay-verify="required" name="orderDate" id="orderDate"  placeholder="请输入订单时间">
        </div>
    </div>
    <div class="layui-form-item layui-row layui-col-xs12">
        <label class="layui-form-label">收获地址</label>
        <div class="layui-input-block">
            <input type="text" class="layui-input userName"
                   lay-verify="required" name="address" id="address" placeholder="请输入收获地址">
        </div>
    </div>
    <div class="layui-form-item layui-row layui-col-xs12">
        <label class="layui-form-label">货物名称</label>
        <div class="layui-input-block">
            <input type="text" class="layui-input userName"
                   lay-verify="required" name="goodsName" id="goodsName" placeholder="请输入货物名称">
        </div>
    </div>
    <div class="layui-form-item layui-row layui-col-xs12">
        <label class="layui-form-label">货物数量</label>
        <div class="layui-input-block">
            <input type="text" class="layui-input userName"
                   lay-verify="required" name="goodsNum" id="goodsNum" placeholder="请输入货物数量">
        </div>
    </div>
    <div class="layui-form-item layui-row layui-col-xs12">
        <label class="layui-form-label">价格</label>
        <div class="layui-input-block">
            <input type="text" class="layui-input userName"
                   lay-verify="required" name="price" id="price" placeholder="请输入货物价格">
        </div>
    </div>
    <div class="magb15 layui-row layui-col-xs12">
        <label class="layui-form-label">状态</label>
        <div class="layui-input-block">
            <select name="state" >
                <option value="" >请选择</option>
                <option value="1" >已支付</option>
                <option value="0" >未支付</option>
            </select>
        </div>
    </div>

    <br/>
    <div class="layui-form-item layui-row layui-col-xs12">
        <div class="layui-input-block">
            <button class="layui-btn layui-btn-lg" lay-submit=""
                    lay-filter="addCustomerOrderPlan">确认
            </button>
            <button class="layui-btn layui-btn-lg layui-btn-normal" id="closeBtn">取消</button>
        </div>
    </div>
</form>
<script type="text/javascript" src="${ctx}/js/customer/order.add.js"></script>
</body>
</html>